Vulvo Vaginal Disease Flashcards
What is the function of the stratified squamous epithelium?
Produces glycogen, ideal environment for lactobacilli.
leucorrhoea
white in pregnant women.
Cervicitis
Gonorrhoea
Mycoplasma
Chlamydia
Vulvo- Vaginitis
Candidiasis
Bacterial Vaginosis
Trichomoniasis
Treatment of over 35 with a partner who does not have male urethral discharge.
Metronidazole 2g PO stat
Clotrimazole 500mg
Treatment of women under 35 with a male urethral discharge.
Ceftriaxone 250mg IM (gonorrhoea)
Azithromycin 1g PO (chlamydia and mycoplasma)
Metronidazole 2g PO (anaerobes and trichomonas)
Causes of infectious cervicitis.
Neisseria Gonorrhoea
Chlamydia trachomatis
Mycoplasma genitalum
colour discharge and symptoms of infectious cervicitis.
yellow, green, brown, white or blood stained.
Dyspareunia
Complication of Infectious cervicitis.
PID
tubal infertility
Ectopic Pregnancy
Organism responsible for Bacteria Vaginosis
Gardnerella Vaginalis
Pathogenesis of Bacterial Vaginosis.
GV reduces lactobacilli increasing the vaginal pH.
this allows for anaerobes to produce foul smelling amines ( fishy odour)
Amsel Criteria for diagnosing Bacteria Vaginosis
Characteristics discharge
pH paper indicates elevated pH
Whiff test: adding potassium hydroxide (discharge results in fishy discharge)
Clue cells
Treatment of Bacterial Vaginosis.
Metronidazole
Vaginal Candida
Not sexually transmitted
Not an opportunistic infection
Management of Vaginal Candida
Clotrimazole
Avoid scented soaps and tight fitting soaps
reducing sugar intake.
Trichomoniasis
Sexually transmitted parasite
Trichomonas Vaginalis
Difference between Bacterial Vaginosis and Trichomoniasis
No clue cells in Trichomoniasis
and associated with redness and irritation
Infected cervix of trichomoniasis.
Strawberry cervix with red haemorhagic spots
Vaginal Atrophy
Decreased levels of oestrogen
Symptoms
Watery discharge
dyspareunia
vaginal dryness
spotting
Condylomata acuminate
Anogenital warts
Highly prevalent in immunocompromised
HPV 6 and 11
Treament of COndylomata acuminate
Topical for small: Podophyllin
Imiquimod
Tri-chloroacetic acid
Large (remove)
Causes of genital herpes
HPV 1 and 2
Three types of infection for genital herpes
Primary infection: initial with no Ab, severe
Non-primary first episode: Less severe
Recurrent: not severe, unless immunocompromised.
Symptoms of genital herpes
Painful ulcers
clusters of vesicles on erythematous base
groin lymphnodes may be enlarged
Treatment of genital herpes
acyclovir
